Individual
MS. MARY LOUISE BAIR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4600 BROADWAY, SUITE 1100, SACRAMENTO, CA 95820-1527
(916) 874-9670
(916) 874-1780
Mailing address
2749 LAS CASAS WAY, RANCHO CORDOVA, CA 95670-3103
(916) 363-0849
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
196767
CA
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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